Partially Compensated Metabolic Acidosis Causes

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Metabolic Acidosis - Endocrine And Metabolic Disorders - Merck Manuals Professional Edition

(Video) Overview of Acid-Base Maps and Compensatory Mechanisms By James L. Lewis, III, MD, Attending Physician, Brookwood Baptist Health and Saint Vincent’s Ascension Health, Birmingham Metabolic acidosis is primary reduction in bicarbonate (HCO3−), typically with compensatory reduction in carbon dioxide partial pressure (Pco2); pH may be markedly low or slightly subnormal. Metabolic acidoses are categorized as high or normal anion gap based on the presence or absence of unmeasured anions in serum. Causes include accumulation of ketones and lactic acid, renal failure, and drug or toxin ingestion (high anion gap) and GI or renal HCO3− loss (normal anion gap). Symptoms and signs in severe cases include nausea and vomiting, lethargy, and hyperpnea. Diagnosis is clinical and with ABG and serum electrolyte measurement. The cause is treated; IV sodium bicarbonate may be indicated when pH is very low. Metabolic acidosis is acid accumulation due to Increased acid production or acid ingestion Acidemia (arterial pH < 7.35) results when acid load overwhelms respiratory compensation. Causes are classified by their effect on the anion gap (see The Anion Gap and see Table: Causes of Metab Continue reading >>

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Popular Questions

  1. Sherri7

    Has anyone tested the theory that xylitol does not raise BG?

  2. Christopher5

    Interesting theory....but it is wrong. It's a sugar, and as such will affect BG. It doesn't metabolize as quickly as glucose or sucrose, however.

  3. tiaE

    My family (2 with T2 & 1 with T1) uses xylitol. I don't care for the taste in drinks but I do bake with it a lot. My daughter is T1 & uses it in some drinks. She doesn't bolus for it. The few times I've used it in drinks, I've seen no difference in BG. I think it's probably a YDMV thing.

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